Chronic Anal Fissures and Polyps: Symptoms and Exercise Impact - Surgery

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Chronic anal fissures and polyps are conditions that can significantly affect an individual's quality of life, particularly when it comes to bowel movements. Your description of experiencing bright red blood during bowel movements without pain is indeed characteristic of an anal fissure. While fissures are often associated with pain, particularly during and after bowel movements, it is possible for some individuals to experience fissures that do not cause significant discomfort, especially if they are chronic.
Anal fissures occur when there is a tear in the lining of the anal canal, often due to passing hard stools or straining during bowel movements. The fact that you are experiencing bleeding but no pain could suggest that the fissure is not acute or that it has become chronic, where the nerve endings may have adapted to the ongoing irritation. However, it is crucial to monitor this condition closely, as the presence of blood can also indicate other issues, including polyps or more serious conditions, so follow-up with your healthcare provider is essential.

Regarding the presence of polyps, these are growths on the lining of the colon or rectum that can vary in size and shape. While many polyps are benign, some can develop into cancer over time. Your doctor’s recommendation for self-healing suggests that they may not be concerned about immediate complications, but regular monitoring and possibly further evaluation, such as a colonoscopy, may be warranted based on your medical history and risk factors.

As for exercise, it can have both positive and negative impacts on your condition. Regular physical activity is generally beneficial for digestive health, as it can help promote regular bowel movements and prevent constipation, which is a common cause of anal fissures. However, certain types of exercise may exacerbate discomfort or strain the pelvic area. Here are some considerations:
1. Low-Impact Exercises: Activities such as walking, swimming, or cycling can be beneficial as they promote circulation and digestive health without putting excessive strain on the pelvic region.

2. Avoid Heavy Lifting: Exercises that involve heavy lifting or straining, such as weightlifting or high-intensity interval training (HIIT), may increase intra-abdominal pressure and lead to straining during bowel movements, which can worsen fissures.

3. Pelvic Floor Exercises: Engaging in pelvic floor exercises (like Kegel exercises) can strengthen the muscles in the pelvic area and may help with bowel control and reduce the risk of further fissures.

4. Listen to Your Body: If you experience any discomfort or pain during or after exercise, it is advisable to stop and consult with your healthcare provider. They may recommend modifications to your exercise routine based on your specific condition.

In summary, while chronic anal fissures can sometimes be asymptomatic in terms of pain, the presence of blood should always be taken seriously. Regular follow-ups with your healthcare provider are crucial for monitoring your condition. Exercise can be beneficial, but it is essential to choose activities that do not exacerbate your symptoms. Always consult with your healthcare provider before starting any new exercise regimen, especially when dealing with gastrointestinal issues.